MEDICARE: BEAUTY IN LIFE COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1255197497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAUTY IN LIFE COUNSELING LLC

Provider Business Mailing Address
First Line	:	21366 HALL RD # 1199
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48038-1539
Country	:	US
Telephone Number	:	313-444-8411
Fax Number	:

Provider Business Practice Location Address
First Line	:	21366 HALL RD # 1199
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48038-1539
Country	:	US
Telephone Number	:	313-444-8411
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DESIREE ALLEN
Credential	:
Telephone Number	:	313-444-8411

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	02/26/2024

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Directions to “BEAUTY IN LIFE COUNSELING LLC ” Practice Location

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